NPI | 1144325218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146003170) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2000156442) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2018-08-23 |